Individual
MR. MATTHEW S HAUSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4225 HOYT AVE STE D, EVERETT, WA 98203-2351
(425) 317-8025
Mailing address
4225 HOYT AVE STE D, EVERETT, WA 98203-2351
(425) 317-8025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204684
WORK COMP
WA
05
—
8445389
—
WA
Enumeration date
08/10/2006
Last updated
04/13/2022
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